HOME-BASED MARITAL THERAPY FOR MULTIPROBLEM FAMILIES*

This paper describes a project designed to reach low-income, multiproblem families, utilizing couples therapy in the home. By targeting a population of young couples under the age of 30 and with children no older than 7 years, the project aimed at prevention of severe family dysfunctioning and child disturbances. The major characteristics noted in the literature on multiproblem families are reviewed here, as are the treatment goals and techniques with such families. Most programs working with multiproblem families have focused primarily on the parental functioning in family therapy, and little has been reported on work with the couple in multiproblem families. The project described here used home visits by a male-female therapist team, including frequent individual and couple sessions. Therapeutic techniques based on modeling, role playing and demonstration were emphasized. In addition, tasks which increased the individual and couple functioning of the spouses were designed and successful completion was reinforced. An attempt was made to integrate the couple into the community and to create a network of support outside of the family, including friends and community services.     

HOW MULTIPROBLEM FAMILIES TRY TO FIND SUPPORT IN SOCIAL SERVICES

This article aims to contribute to a better understanding of the relationship between multiproblem families and social agencies, and in particular of how families try to find support in larger systems. Usually, multiproblem families are also multi‐assisted, since the several problems they live with attract intervention from a wide range of social protection services. This research used a qualitative approach; data were collected from 56 multiproblem households, using a semi‐structured interview. Findings suggest seven categories of families: ‘outsider’ families (who reject the existence of problems, so never try to find support); ‘resigned’ families (who give up looking for formal support after a first refusal, and continue coping on their own); ‘persistent’ families (who insist in getting support from several social agencies); ‘over‐needy’ families (any minimal difficulty justifies the search for formal support); ‘balanced’ families (who apply for formal support only when they experience difficulties in dealing with problems); ‘imprudent’ families (these ask social agencies for support only when problems reach an unsustainable level); and ‘ignored’ families (who do not try to get support, and no formal help reaches them).     

SIBLING THERAPY WITH MULTIPROBLEM FAMILIES*

Most family therapy deals with the parent-child system. However, with chaotic multiproblem families, this often is not possible. When parents refuse to, or cannot, participate in the therapy, working with just the siblings (Sibling Therapy) offers one way to provide help to troubled children. When parents offer inconsistent or inadequate nuturing, seeing the children together is a way of developing or strengthening the bonds among them and teaching them how to be available to each other. This article proposes setting treatment goals that are consistent with the cultural and family styles of these children, describes methods for developing caring and cohesion, and presents techniques for working with these children.     

Rural governance and local involvement: assessing state—community relations in the Scottish Highlands

Questions of rural governance have been attracting growing interest in recent years as rural analysts turn their attention to the institutional transformations that are taking place in and around the local state. This paper is concerned with the relationships between new governance agencies and rural communities. It follows recent contributions to the rural studies literature by adopting a ‘governmentality’ perspective which views the current emphasis on community involvement and empowerment as part of a broader neo-liberal strategy of ‘governing through community’. In the paper, I address a particular gap in the governmentality literature by examining how the underlying shift towards community action and local involvement is mediated and implemented by local and regional agencies in the Scottish Highlands, focusing specifically on the relationship between local enterprise companies and local communities. As such, the paper explores the tension between the concern with local participation and the reliance upon a set of managerial ‘technologies’ such as targeting and financial controls which reflect a need to ensure that local agencies are accountable to (central) government. The paper argues that while local state agencies must be analysed within wider circuits of power, local agencies and community groups retain some capacity to influence processes of rural governance. In conclusion, I suggest that the governmentality approach provides some critical insights for re-interpreting and analysing rural governance as a particular field of research.     

Conflict and Conflict Resolution in Citizen Participation Programs:

Conflicts between governmental agencies and individuals are common in citizen participation programs. One source of these conflicts is barriers to full participation in decision-making. This paper identifies and examines these barriers. It also highlights how conflict may be reduced through the removal of these barriers in the case study of a community during a citizen participation program. The implications for program changes and community organizers are discussed.     

Community Partnerships

Abstract

Community challenges force human service agencies to collaborate in providing services. Such collaborations require practitioners to have skills not found in mainstream social work curricula. This paper explores how a new MSW program evolved through dialog with community leaders and resulted in a curriculum with a sole concentration of community partnerships.     

Family Services: A Proposed Model for Coordinating Spouse Abuse Services

ABSTRACT

This article presents a proposed model to organize spouse abuse services within communities. It proposes that family service agencies take the lead in organizing and implementing the model program. The community team would consist of representatives from agencies and disciplines that serve spouse abuse families. The community would benefit from the coordination of both the direct services to affected families and the prevention and education activities designed to eliminate spouse abuse.     

Social services and social support: blended programs for families at risk of child maltreatment

Social support, increasingly put forth as a fundamental in helping multiproblem families to avoid placement, is a complex construct not easy to define and far more difficult to carry out conceptually and practically. This article describes four family support programs that illustrate certain common denominators for implementation.     

THE FAMILY FIRO MODEL: A MODEST PROPOSAL FOR ORGANIZING FAMILY TREATMENT

This paper presents a model for organizing family issues and family treatment. Schutz's FIRO model is offered as a framework for organizing family issues into inclusion, control and affection categories. Following Schutz's theory of group development, we propose that inclusion, control and affection constitute a logical hierarchy of core issues to be dealt with in treating multiproblem families-inclusion first, then control, and then affection (intimacy). Furthermore, we propose that the FIRO model can be used to organize theories of family therapy. We attempt to demonstrate that different family therapies are best suited for one of the three core issues of family interaction. We advocate an "intelligent eclecticism" based on the premise that when an issue is appropriately matched with a therapy, therapeutic effectiveness should be enhanced. We also discuss implications of our Family FIRO model for clinical practice.     

Collaboration and conflict between agencies and clients

Public relations agencies are an important part of the public relations industry, but their relations with client organizations are rarely studied. There is more literature and studies in agency-client relations in advertising than in public relations. This paper reviews literature and reports results of an empirical study into perceptions of public relations agencies and their clients on the reasons for their cooperation and sources of conflict between them. Results show that agencies misperceive reasons for which they are hired and the sources of conflict in the relationship. The paper offers several suggestions about how to tackle the problem: notwithstanding rebranding into consultancies and firms, public relations agencies-client relations should be studied as a particular example of a broader family of agency-client relations. Also agencies should study and strategically manage relations with their clients, while being realistic about client organization’s needs – sometimes they just need additional arms and legs.     

The school community council: creating an environment for student success

A model of community-school partnerships is developing within a school district in Evansville, Indiana. Based on a full-service community school philosophy, the model started in one elementary school in the Evansville-Vanderburgh School Corporation and has expanded into a districtwide initiative called the School Community Council. The council is made up of over seventy community organizations and social service agencies working together to establish full-service schools as places of community and to enhance youth and family development.     

Chapter 13. New Challenge to Inner-City Caregiving

SUMMARY

This article discusses how new or emerging city forms present fresh challenges and opportunities for caregiving agencies and institutions. It describes how tapping the resources and assets of inner cities can revitalize the capacity of the community. The way in which religious institutions, traditional social service agencies, and informal caregivers can work together to provide care is explored.     

Bridging the gap between social work practice and community based welfare agencies

This article argues that social work in the UK needs to renegotiate its relationship with community welfare agencies. It begins by examining what we mean by local community and how welfare needs reflect complex non-linear dynamics unique to the local circumstances. It is argued that these are not always recognised in centralised policy agendas. The article broadly draws a parallel between policy issues for the European Community and for the national state. The drive for both is towards uniformity, which potentially fails to acknowledge the unique circumstances at both the national level between nations and the local level between communities.

The focus of the analysis is the lack of engagement with the subtleties of the local within the arena of social work education and practice. With the opportunity presented by the introduction of a new social work degree in the UK, the authors describe how a social work programme in Liverpool undertook a piece of research with the aim of creating an appropriate place for community welfare agencies in practice placements, the academic curriculum and, ultimately, with the next generation of social work practitioners. Eight welfare agencies within the proximity of Liverpool University, an area known as Toxteth, agreed to participate in the research to investigate what kind of placement module would enable local welfare agencies to engage meaningfully in the social work degree. Out of this process emerged a model for research based curriculum development involving local community agencies and academic institutions. More specifically for Liverpool, it placed the notion of social work's relationship with local community welfare at the heart of professional development for qualifying social workers, paving the way in this region of England for closer links between welfare agencies associated with civil society and professional social workers.     

Property, the Formation of the Pioneer State and the Working of Power in Rural Australia

Abstract  This paper is concerned with the role of property ownership and the importance of male patriarchy on family farms. I critique here the role of property and family and its role in State formation. I am interested in local and regional sites where I argue that identity and conduct was determined. This approach indicates how the cultural values of farming were reflected in the culture of the State through its administrative apparatuses of power. Through an explanation of the role of 'family' and 'property', I show how different discourse and techniques involved with rural life received endorsement and support, within legal and non-legal forms of power. I outline the direction my argument will take. Firstly, I show the importance of the family in State policy and how the family was imbedded in ideas of property. Secondly, I show the role of economics as a form of governance. Economics, I argue formed a discipline of productivity through which the family governed the individual and the State governed the family. Thirdly, I show how property, the family and economics were linked within other administrative agencies involved in the 'governmentalisation of society'.     

Power, Politics, and the Framing of Environmental Illness

The medical community, along with other government agencies, has created its own frame of environmental illness. This frame has been generally accepted by the American public. In this paper we discuss framing in general and the factors related to how the environmental illness frame has been constructed and maintained. We offer a brief history of the medical institution and illustrate the frame with its definitions of environmental illness. Qualitative data from a study of Oak Ridge, a contaminated community located in Tennessee, are examined to analyze the consequences of challenging the environmental illness frame. Implications for future research are discussed.     

Paying Kin for Care

The idea of giving compensation to family members who care for health-impaired elderly relatives is viewed with ambivalence by policymakers. If pay were given to such caretakers, the relationship between state-level community care programs and families could change. This paper reports on a survey of home care agency administrators in Illinois, a state that contracts with agencies to provide direct services to elderly persons. Agency administrators were asked to react to the potential impact on their agencies of the state allowing or encouraging the hiring of relatives as caretakers. Most administrators tended to view paid family members as different and more difficult to train and supervise than other workers. Possible explanations for this negative view are explored, including the fundamental difference between the goals of family and agency care and the impact of efficiency as an organizing principle of long-term care.     

Hurdling the Artificial Fence Between Child Welfare and the Community: Engaging Community Partners to Address Disproportionality

As with many national and state social service systems, child welfare agencies have traditionally functioned in isolation. A multitude of federal and state laws and policies direct the functions and practices of child welfare systems, setting up an artificial fence around the agency that has created a culture lacking in interprofessional collaborations. However, recent reform efforts have emphasized the importance of engaging the community in discussions and decisions regarding child welfare practice. Child welfare agencies are now expected to work with community leaders, key stakeholders, affiliated service providers, and families to address issues impacting children and families. A major obstacle is determining where to begin, how to proceed, and what is needed to develop those partnerships. This article reports the efforts of one state agency in hurdling that artificial fence to address the overrepresentation of minority children in the system. Through focus group interviews with community members, child welfare staff, and legal professionals, barriers to community engagement are identified, and recommendations are provided for facilitating meaningful relationships and partnerships between child welfare agencies and the communities they serve.     

Community Foundations: A Growing Resource for Community Development

Like many nonprofit organizations, community development corporations (CDCs) rely on various sources of funding and support for their activities in poor and distressed neighborhoods. Funders often include the federal government, state and local government agencies, financial institutions, and philanthropic organizations. The author explains how community foundations are different from other philanthropic organizations and describes the various mechanisms that community foundations use to support community development. She suggests that there is a natural fit between the purpose of community foundations and the philosophy of community development, concluding that it is important for CDCs, as well as other nonprofit organizations, to understand how community foundations are different from other philanthropic organizations so that they may better position themselves to take advantage of the many resources that community foundations bring to their communities.     

Pathways to Self-Sufficiency: Successful Entrepreneurship for Refugees

ABSTRACT

This study examined the successes and challenges of refugee entrepreneurs by interviewing 50 refugees, service providers, and technical assistance providers. Qualitative data analyses revealed that successes and challenges occurred both at the individual and family levels as well as at the community and agency levels. The findings underscore the need to acknowledge the importance of the personal characteristics of the individual entrepreneurs, to deal with the competing factors revolved around family commitments, to encourage agencies to provide sufficient literacy and financial training, and to have community collaborations for capacity-building.     

Understanding communities of neglectful parents: child caregiving networks and child neglect

This article focuses on family social networks and the community of caregivers of neglected children. If neglect is part of family functioning, who watches over the children? Using a case study approach, this study researched 12 children and their parents. Several concepts, such as multiple caregiving and kin keepers, revealed that study children were cared for by many people. Social network mapping used in this study indicated that families were not isolated from the larger community, had various forms of negative and positive social support, were low income, and were involved in substance abuse and domestic violence. Understanding the patterns that emerge from the complex web of family, friends, social service agencies, and the larger social community in which neglected children live can result in better community building.